It's a day of birthdays. Peter Benton's mother is celebrating a birthday and he tries desperately to find someone to cover his shift. He makes a choice however when Dr. Hicks suggests that he's been absent too often and may wish to consider a leave of absence until his mother's situation is resolved. Carter thinks it's Benton birthday and has a surprise for him. Mark Greene's daughter is also having a birthday but he misses that due to an emergency at the hospital. An elderly, solitary man in the final stages of cancer arrives in the ER on his birthday. Carol Hathaway suggests to her fiancé that they adopt little Tatiana, the AIDS patient abandoned in the ER. Ross has to deal with a young child who was kicked out of a window.

Dr. Benton has to deal with the aftermath of his mother's fall and crosses the line with the surgical attending when he insists on scrubbing in for her operation. Dr. Greene deals with Jodi O'Brien who is two weeks away from giving birth. With the obstetrics attending unavailable, he decides to try to deliver her baby in the ER, with tragic results.

On a fateful Mother's Day, several staffers in the ER face possible life-changing events. Susan Lewis' sister Chloe gives birth to a beautiful - and healthy - baby girl. Things start to go wrong however when their mother Cookie - who had agreed to take in Chloe and the baby - suddenly decides she's done enough and Susan will have to take care of it. Carter turns down an offer for an ER sub-internship in the hopes that he'll get an offer in surgery. Dr. Hicks has news for him however. Benton's mother takes a turn for the worse. Carol Hathaway is overwhelmed with the final preparations as her wedding day approaches.

Benton and Elizabeth Corday spend the night together. Corday is shocked when Robert Romano suggests that they go out on a date. John Carter and his grandmother clash over the future of Chase Carter; she wants him cared for at home while John feels he should remain institutionalized where he can continue to receive therapy. Carol Hathaway finally gets around to inviting her mother to a Sunday brunch with her and Doug but is a bit surprised when she shows up with her boyfriend. In the ER, Hathaway comforts a man who is going to die from chemical burns.